Updated November 2025

Only 20 minutes after your last cigarette, your heart rate and blood pressure begin to drop. Within a few  days, the carbon monoxide level in your blood drops to a normal rate. After a few weeks your circulation and lung function improve, and after a year your risk of heart attack drops significantly. These are only some of the drastic changes your body undergoes when you quit smoking, as identified by the American Cancer Society.

Despite the benefits of a smoke-free lifestyle, an average of 12.6% of residents in America’s 100 largest cities are smokers. San Jose, California has the lowest rate with only 3.4% of residents who smoke, but Laredo, Texas has the highest rate with 24.8% of residents smoking. View the rate for your city. Across the 100 largest U.S. cities, more than 8.1 million people are at a heightened risk of certain cancers and coronary heart disease because of this habit.

The Great American Smokeout, presented by the American Cancer Society, is Thursday, November 20, 2025. On this date, Americans are encouraged to make a plan to quit smoking. We have gathered a number of resources here to help you or others in your life make a plan to quit smoking.

Help Someone Else Quit Smoking

Help Employees Stop Smoking | American Lung Association

Smoking-Cessation: Role of the Fitness Professional in Clearing the Air | ACSM’s Health & Fitness Journal®

Helping a Smoker Quit: Do’s and Don’ts | American Cancer Society 

Support  To Quit Smoking

Sign up for support via text message by texting QUIT to 47848 | NIH – National Cancer Institute

Download the quitSTART app | CDC

Call the State Quitline | 800-QUIT-NOW (800-784-8669, English) 855-DÉJELO-YA (855-335-3569, Español)

Call the National Quitline | 877-44U-QUIT (877-448-7848) (support in both English and Spanish)

Smoking Cessation Resources for Veterans  | NIH – National Cancer Institute

Freedom From Smoking, Smoking cessation support for public housing | American Lung Association and Anthem Foundation 

Smokefree.gov  | Resources from the  NIH – National Cancer Institute specifically supporting women, teens and seniors.

SmokefreeEspañol   | Recursos en español de NIH –   Transformación de Descubrimientos de la Salud®

Deciding to Quit Smoking and Making a Plan | American Cancer Society 

Other Ways to Quit Smoking | American Cancer Society

Getting Help with the Mental Part of Tobacco Addiction | American Cancer Society

You Can Quit Smoking: Here’s How | CDC

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GSSI Pre-Conference

The Physiology of Hydration: More Than Water Alone

This session explores the physiology of hydration through an integrated lens—examining how carbohydrate, sodium, flavor, and fluid interact to influence intake, absorption, retention, and performance. We’ll review current research on fluid balance, osmotic drivers, and palatability, highlighting mechanisms that underpin voluntary intake and thermoregulation. Attendees will gain insight into individualized strategies, including sweat profiling and timing approaches, to optimize euhydration and mitigate performance decrements associated with >2% body-mass loss. Practical applications will be linked to laboratory- and field-based research, ensuring translation from bench to field. This pre-conference equips you with evidence-based tools to support athlete hydration across diverse environments and sporting contexts. 

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  • Session 1: Sweating the detail: New insights on hydration considerations for athlete performance
    • Lewis James, PhD, Associate Professor in Human Nutrition in the School of Sport, Exercise and Health Sciences at Loughborough University
  • Session 2: Functional ingredients in fluid replacement beverages for athletes
    • Lindsay Baker, PhD, Director at the Gatorade Sports Science Institute
  • Session 3: The hydration toolkit: Practical approaches to athlete support
    • Floris Wardenaar, PhD, Associate Professor at the College of Health Solutions at Arizona State University